MS. NICOLE ARLETTE BEALE -VANDYKE CSLP-A ITDS NPI 1790918647

NPI Information

NPI: 1790918647
Provider Name: MS. NICOLE ARLETTE BEALE -VANDYKE, CSLP-A, ITDS
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
12485 SW 137TH AVE STE 301
MIAMI, FL
ZIP 33186
Phone: (786) 732-4922
Get Directions

MS. Nicole Arlette Beale -vandyke, CSLP-A, ITDS is a speech-language assistant specialist technologist in Miami, FL. MS. Nicole Arlette Beale -vandyke, CSLP-A, ITDS NPI is 1790918647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12485 SW 137TH AVE STE 301
MIAMI, FL
ZIP 33186-219
Phone: (786) 732-4922

The enumeration date for this NPI number is 8/26/2009 and was last updated on 9/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	222Q00000X	Developmental Therapist				No
2	2355S0801X	Specialist/Technologist	Speech-Language Assistant	S11425	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SI1425	OTHER	FLORIDA	SPEECH PATHOLOGY ASSISTANT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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